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Student FirstName *
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Student LastName *
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Gender *
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Male
Female
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Date of birth *
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Email *
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Mobile *
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Address *
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City *
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District *
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Parent/ Guardian's Name *
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Parent/ Guardian's Mobile *
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College *
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Hall Ticket Number *
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Course *
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Year of Study *
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Grievance Type *
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Grievance Date *
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Grievance Supporting Document *
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Grievance Description *
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